Adopt-A-Road Interest Form

Adopt-A-Road Interest Form

Please fill out the information below to be contacted about available roads. Applicant must be 18 or older to adopt-a-road. If no roads are available, you will be added to the waitlist and will be contacted when a road becomes available. No volunteer under the age of 14 may participate in the program without the express written consent of the City.
All routes are currently FULL.

You can still complete the interest form and will be added to the waitlist and contacted when a route becomes available.
Are you signing up as part of a group, business, or organization?
Name of Applicant

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Organization/Group/Business/Family Name
Please provide the name of the organization/group/business you are signing up.
Your role/position/title
How many participants do you expect take part in clean up events?
Please note for safety reasons, we require a minimum two total participants to adopt-a-road. You can include a range.
Are any of your members under the age of 14?
Please note: Adopt-A-Road participants must be 14 or older unless given express permission by the city. Additional paperwork and direct parent/guardian/chaperone supervision will be required for each participant under 14. No participants under 10 may participate.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organization/Business/Group Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you have or can your provide proof of general liability insurance for your business, organization or group?
If you are interested in a specific road, please let us know. If that route is unavailable we will send you info on others or add you to the waitlist.
Should be Empty:

Adopt-A-Road Interest Form

All routes are currently FULL.